Active NPI
Shawnna Dearborn, MS OTR/L
- Occupational Therapist
- Quincy, MA
National Provider Identifier
1336319995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8192
- Practice address
- 22B Harrington Ave
Quincy, MA 02169-7023 - Phone
- (617) 388-7678
- NPI assigned
- Mar 10, 2008
- Last updated
- Mar 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 8192 | MA | Primary |
Addresses
Primary practice location
22B Harrington Ave
Quincy, MA 02169-7023
Mailing address
22B Harrington Ave
Quincy, MA 02169-7023
Phone (617) 388-7678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1336319995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22B HARRINGTON AVE",
"city": "QUINCY",
"state": "MA",
"postal_code": "021697023",
"telephone_number": "617-388-7678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22B HARRINGTON AVE",
"city": "QUINCY",
"state": "MA",
"postal_code": "021697023",
"telephone_number": "617-388-7678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEARBORN",
"first_name": "SHAWNNA",
"credential": "MS OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-10",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "8192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.